AHRQ PSNet

Author's posts

Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error.

Agency for Healthcare Research and Quality

Eichbaum Q, Adkins B, Craig-Owens L, et al. Diagnosis (Berl). 2018 Dec 4; [Epub ahead of print].

Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions.

Agency for Healthcare Research and Quality

Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2019. AHRQ Publication No. 18(19)-0055-EF.

Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications.

Agency for Healthcare Research and Quality

Davis KK, Mahishi V, Singal R, et al. J Clin Med Res. 2019;11:7-14.

Unintentionally retained guidewires: a descriptive study of 73 sentinel events.

Agency for Healthcare Research and Quality

Steelman VM, Thenuwara K, Shaw C, Shine L. Jt Comm J Qual Patient Saf. 2019;45:81-90.

Electronic patient identification for sample labeling reduces wrong blood in tube errors.

Agency for Healthcare Research and Quality

Kaufman RM, Dinh A, Cohn CS, et al; BEST Collaborative. Transfusion. 2019;59:972-980.

Targeting the fear of safety reporting on a unit level.

Agency for Healthcare Research and Quality

Copeland D. J Nurs Adm. 2019;49:121-124.

Use of a public health law framework to improve medication safety by anesthesia providers.

Agency for Healthcare Research and Quality

Litman RS. J Patient Saf Risk Manag. 2019 Feb 5; [Epub ahead of print].

The impact of mobile technology on teamwork and communication in hospitals: a systematic review.

Agency for Healthcare Research and Quality

Martin G, Khajuria A, Arora S, King D, Ashrafian H, Darzi A. J Am Med Inform Assoc. 2019;26:339-355.

Impact of patient safety culture on missed nursing care and adverse patient events.

Agency for Healthcare Research and Quality

Hessels AJ, Paliwal M, Weaver SH, Siddiqui D, Wurmser TA. J Nurs Care Qual. 2018 Dec 12; [Epub ahead of print].

Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.

Agency for Healthcare Research and Quality

Santhosh L, Lyons PG, Rojas JC, et al. BMJ Qual Saf. 2019 Jan 12; [Epub ahead of print].